Sildenafil alternative recommendation

[Roodle]

Hi, I have been taking Sildenafil for many years. Originaly 50mg, for the last 10 years 100mg. Originally I used to get a boner you could chop wood on. Whilst I can still get hard enough for a two pop 1 hour punt. I miss the days of the straining boner that I didn't need to think about. I could keep a hard on despite any sort of interuption. Now I need to concentrate and need a bit of stimulation between positions. I guess I am slowly becoming immune to it's effects.
Has anyone else developed this type of gradual decline in it's effect. Does anyone know if one of the other e.d. tablets reset your tollerance and bring back the rampant boner. If so which one? Any advice appreciated.

[daviemac]

Hi, I have been taking Sildenafil for many years. Originaly 50mg, for the last 10 years 100mg. Originally I used to get a boner you could chop wood on. Whilst I can still get hard enough for a two pop 1 hour punt. I miss the days of the straining boner that I didn't need to think about. I could keep a hard on despite any sort of interuption. Now I need to concentrate and need a bit of stimulation between positions. I guess I am slowly becoming immune to it's effects.
Has anyone else developed this type of gradual decline in it's effect. Does anyone know if one of the other e.d. tablets reset your tollerance and bring back the rampant boner. If so which one? Any advice appreciated.

It's been done to death mate just have a search, there's loads of threads on it.

The main bit of advice is to discuss it with a medical professional.

https://www.ukpunting.com/index.php?topic=321959.msg3377457#msg3377457

[Dipper]

Hi, I have been taking Sildenafil for many years. Originaly 50mg, for the last 10 years 100mg. Originally I used to get a boner you could chop wood on. Whilst I can still get hard enough for a two pop 1 hour punt. I miss the days of the straining boner that I didn't need to think about. I could keep a hard on despite any sort of interuption. Now I need to concentrate and need a bit of stimulation between positions. I guess I am slowly becoming immune to it's effects.
Has anyone else developed this type of gradual decline in it's effect. Does anyone know if one of the other e.d. tablets reset your tollerance and bring back the rampant boner. If so which one? Any advice appreciated.

Know this feeling only too well.

I’d say it’s just age.

[JustaPunter]

Hi, I have been taking Sildenafil for many years. Originaly 50mg, for the last 10 years 100mg. Originally I used to get a boner you could chop wood on. Whilst I can still get hard enough for a two pop 1 hour punt. I miss the days of the straining boner that I didn't need to think about. I could keep a hard on despite any sort of interuption. Now I need to concentrate and need a bit of stimulation between positions. I guess I am slowly becoming immune to it's effects.
Has anyone else developed this type of gradual decline in it's effect. Does anyone know if one of the other e.d. tablets reset your tollerance and bring back the rampant boner. If so which one? Any advice appreciated.

You could try Cialis, Levitra or Spedra.

Though it’s likely she is indeed a factor.

Your body needs other things to ensure you get a raging boner.

Nitric Oxide being one.

Which is why some people supplement with L Arginine, L Citruline or D Aspartic Acid.

You could consider getting bloods done to see if you Testosterone levels are at a normal level.

[Roodle]

Thank you all for the replies. I think perhaps you are all correct. I was just hoping to here that someone had been in the same situation, that is to have only used Sildenafil for a long time and following reduced effects has changed to a different e.d. drug and found immediate reversal of the issue. If so which one?
Guess I'm wishing on a star.

[RandomGuy99]

There can be many reasons for ED.  Have a look at your diet and get some blood tests done to see how your vitamin and mineral levels are.  It could be that you just need some supplements.

[SoapyTW]

Regarding bloodwork, I've recently looked into this for other reasons and was recommended the following. It includes testosterone, vit and mineral checks. Cheaper / more targetted ones also available, but good to get a full screening done now and again.

External Link/Members Only

[RandomGuy99]

Regarding bloodwork, I've recently looked into this for other reasons and was recommended the following. It includes testosterone, vit and mineral checks. Cheaper / more targetted ones also available, but good to get a full screening done now and again.

External Link/Members Only

Looks good.

You can ask your GP for blood tests too.  Just tell them the symptoms you've been experiencing. Vitamin deficiencies can cause all sorts of issues including problems sleeping, depression and frequently getting ill.

[BILLY LIAR]

You could try Cialis, Levitra or Spedra.

Though it’s likely she is indeed a factor.

Your body needs other things to ensure you get a raging boner.

Nitric Oxide being one.

Which is why some people supplement with L Arginine, L Citruline or D Aspartic Acid.

You could consider getting bloods done to see if you Testosterone levels are at a normal level.

Thanks for bringing L-Arginine & L-Cintrulline to my attention.

Wouldnt be brave enough to go on a punt without a blue pill safety net but certainly seeing the benefits. 

[Punting2022]

Thanks for bringing L-Arginine & L-Cintrulline to my attention.

Wouldnt be brave enough to go on a punt without a blue pill safety net but certainly seeing the benefits. 

do these supplements work, i may buy some. Any recommendations

[JustaPunter]

do these supplements work, i may buy some. Any recommendations

They are some of the building blocks for Nitric Oxide.

Which you need if you are going to get a decent erection as it’s involved in vasodilation.

They are pretty much all the same.

So buy on price and availability would be my advise

[contentguy]

They are some of the building blocks for Nitric Oxide.

Which you need if you are going to get a decent erection as it’s involved in vasodilation.

They are pretty much all the same.

So buy on price and availability would be my advise

I didn’t know that, but by google it’s true, I thought you were having a Laugh(ing gas). 

[JustaPunter]

I didn’t know that, but by google it’s true, I thought you were having a Laugh(ing gas). 

Nitrous Oxide (Entonox) is N2O

Nitric Oxide is NO

👍

[fredhiggins]

Just remember sildenafil really needs an empty stomach. I prefer 100mg over 50 mg, but also found with a pill cutter that 75mg work well too.

[exitonly]

I had similar experiences using the blue pills where it appeared to be less affective with regular use. What I found that works somewhat better for me is I change between meds every couple of months, between sildenafil then I'll use Cialis..  lost weight, and sleep better seems to be working also.. Take a few sups that seem to have improved natural boners too .. Macca, L' Arginine, Vit D+K and Nettle root..pick and make nettle tea regularly when I can find them..

[scutty brown]

A lot of people playing amateur doctors in this thread over what could be a serious issue, or could be trivial.
There's only one correct answer: see your GP
Though cutting out booze and fags, and going on a diet always helps

Ignore all this guff about supplements: it's snake oil marketing

[stevesucks69]

Just remember sildenafil really needs an empty stomach. I prefer 100mg over 50 mg, but also found with a pill cutter that 75mg work well too.

Using a pill cutter to cut a 100mg pill to any other size means you could be luck and have the dose you want or even the whole pill dose  or anything  really

[stevesucks69]

A lot of people playing amateur doctors in this thread over what could be a serious issue, or could be trivial.
There's only one correct answer: see your GP
Though cutting out booze and fags, and going on a diet always helps

This is the correct answer

[JustaPunter]

A lot of people playing amateur doctors in this thread over what could be a serious issue, or could be trivial.
There's only one correct answer: see your GP
Though cutting out booze and fags, and going on a diet always helps

Ignore all this guff about supplements: it's snake oil marketing

I think you need to read up on how the body works.

And the things the body needs to get an erection.

Do you even understand what vasodilation is?

[JustaPunter]

This is the correct answer

Why?

Because it aligns with your basic world view?

[RandomGuy99]

Why?

Because it aligns with your basic world view?

You shouldn't go messing with the natural operation of your body without getting some medical advice first. There have been posts on here of people who take high blood pressure meds and then viagra and their blood pressure has gone dangerously low. You should at the very least get your blood pressure checked before you take Sildenafil or an alternative as they all cause changes in your blood pressure. If you have an undetected medical condition then bad things could happen. Worst case you could die. Is dying really worth it for a fuck?

You should also read the information sheet for any meds you take. You'll see people on here suggesting 100 mg, which is the maximum recommended dose. 25 mg is the recommended starting dose as most erection issues are due to mental (pressure/stress) not physical issues. The risk of side effects increases the higher the dose you take.

[Doc Holliday]

Using a pill cutter to cut a 100mg pill to any other size means you could be luck and have the dose you want or even the whole pill dose  or anything  really

Whether pills can be split or not depends on the individual medication. Any that are scored halfway can be split as can many others that are not scored. The coating is also a factor. A pharmacist can advise.

Sildenafil can be safely split as the active ingredient is evenly dispersed and dosage variation will be minimal 

[scutty brown]

I think you need to read up on how the body works.

And the things the body needs to get an erection.

Do you even understand what vasodilation is?

Well...........based on your absurd comment "they are some of the building blocks for Nitric Oxide" it appears I have a better understanding than you

[RandomGuy99]

And remember Sildenafil or alternatives do NOT change your refractory period, which is the recovery time between orgasms.  Therefore, don't take 100 mgs of Sildenafil expecting you'll be able to have 15 orgasms in a hour - you won't.  A higher dose will just stay in your blood stream longer. Ideally you should be going for the minimum dose that is effective for you, so it affects the normal operation for the minimum period of time, so start with a low dose but only after you have taken medical advice.

[daviemac]

Why?

Because it aligns with your basic world view?

Seeking medical advice is the correct answer because it is the right and sensible thing to do, there are many different causes for ED and a visit to your doctors where the necessary blood tests can be carried out to eliminate those causes is what should be done.

That is not because of any 'basic world view' it's because if you self medicate without knowing the reason you are self medicating you are an idiot.

Your doctor is the best person to discuss all the alternatives available including any supplements, he/she has access to your medical records so will know as much and probably more about your body than you do.

A punting form is not the best place for medical advice.

[Doc Holliday]

And remember Sildenafil or alternatives do NOT change your refractory period, which is the recovery time between orgasms.  Therefore, don't take 100 mgs of Sildenafil expecting you'll be able to have 15 orgasms in a hour - you won't. 

Actually the refractory period is the time between orgasm and becoming aroused again and achieving an erection and not the time between orgasms. Sildenafil will normally shorten the refractory period and can even eliminate it for some. In terms of orgasms Sildenafil is more likley to delay the second orgasm (and even the first)

[RandomGuy99]

Actually the refractory period is the time between orgasm and becoming aroused again and achieving an erection and not the time between orgasms. Sildenafil will normally shorten the refractory period and can even eliminate it for some. In terms of orgasms Sildenafil is more likley to delay the second orgasm (and even the first)

The research I've read says that Sildenafil does not reduce the refractory period, but you may have read different research.

[Doc Holliday]

The research I've read says that Sildenafil does not reduce the refractory period, but you may have read different research.

Can you link to that? I'm not aware of any studies which suggest sildenafil does not reduce the refractory period.

My comments are based on personal experience also. During the period in my life when I used it, I could often continue post orgasm penetration without losing my erection at all, assuming I maintained arousal (mostly cerebral) I really struggled to reach a second orgasm though.

There are many similar anecdotes on here saying ED meds reduces the refractory period.

EDIT I should add that I don't think there is much research anyway?

[RandomGuy99]

Can you link to that? I'm not aware of any studies which suggest sildenafil does not reduce the refractory period.

My comments are based on personal experience also. During the period in my life when I used it, I could often continue post orgasm penetration without losing my erection at all, assuming I maintained arousal (mostly cerebral) I really struggled to reach a second orgasm though.

There are many similar anecdotes on here saying ED meds reduces the refractory period.

EDIT I should add that I don't think there is much research anyway?

I agree that there doesn't appear to be a lot of research about it.

External Link/Members Only

There may be a psychological effect, which makes men more confident or maybe with escorts some try harder to get hard again and again. Cuming once at the end of a booking works for me, so I never even try to get hard again.  Some SPs have told me that some SSs can come over 10 times in a booking. Personally, I don't think I'd find that enjoyable.  Whatever works for you.

[JustaPunter]

Seeking medical advice is the correct answer because it is the right and sensible thing to do, there are many different causes for ED and a visit to your doctors where the necessary blood tests can be carried out to eliminate those causes is what should be done.

That is not because of any 'basic world view' it's because if you self medicate without knowing the reason you are self medicating you are an idiot.

Your doctor is the best person to discuss all the alternatives available including any supplements, he/she has access to your medical records so will know as much and probably more about your body than you do.

A punting form is not the best place for medical advice.

I wouldn’t consider taking supplements with proven benefits as Self Medicating.

Self Medicating would be the Charge Nurse helping themselves to Amoxicillin from the TTA cupboard in A&E

[daviemac]

Self Medicating would be the Charge Nurse helping themselves to Amoxicillin from the TTA cupboard in A&E

Just as I thought, you don't have a clue what you are talking about. 

Look it up, - self medicate - "administer medication to oneself without medical supervision". Nothing to do with nurses stealing drugs.

BTW I have a supply of Amoxicillin and Prednisolone so I can self medicate should the need arise, however I got them on prescription after consulting with my doctor so even though I can self medicate it is under medical supervision. The only difference is when I'm actually taking it there is no supervision because they haven't told me to take it.

There's an awful lot of people on this site that should just keep quiet about things they know nothing about, someone might believe what they say.

My advice stays the same to anyone with ED, consult a medical professional and they can go through all the alternatives with you, safely.

[JustaPunter]

Well...........based on your absurd comment "they are some of the building blocks for Nitric Oxide" it appears I have a better understanding than you

I was keeping it simple for people like you to understand.

So why don’t you educate me?

Before you do have a read.

External Link/Members Only.

External Link/Members Only

Supplementation is obviously not necessary if you are in 100% perfect health.

Also to be considered is D Aspartic Acid

External Link/Members Only.

[JustaPunter]

Just as I thought, you don't have a clue what you are talking about. 

Look it up, - self medicate - "administer medication to oneself without medical supervision". Nothing to do with nurses stealing drugs.

BTW I have a supply of Amoxicillin and Prednisolone so I can self medicate should the need arise, however I got them on prescription after consulting with my doctor so even though I can self medicate it is under medical supervision. The only difference is when I'm actually taking it there is no supervision because they haven't told me to take it.

There's an awful lot of people on this site that should just keep quiet about things they know nothing about, someone might believe what they say.

My advice stays the same to anyone with ED, consult a medical professional and they can go through all the alternatives with you, safely.

Supplements aren’t Medicine.

You realise that?

I already pointed that fact out but you seem to want to attempt to suggest I think they are.

They quite simply aren’t.

You really have no idea what Self Medicating is do you?

You can try and twist the definition of Self Medicating all you want.

I have a very common example of Self Medicating in the NHS, it happens on a daily basis.

It is also theft as you pointed out.

Self Medicating in Health Care is done with prescription drugs.

Not supplements you can buy on Amazon

[Doc Holliday]

I agree that there doesn't appear to be a lot of research about it.

External Link/Members Only

There may be a psychological effect, which makes men more confident or maybe with escorts some try harder to get hard again and again. Cuming once at the end of a booking works for me, so I never even try to get hard again.  Some SPs have told me that some SSs can come over 10 times in a booking. Personally, I don't think I'd find that enjoyable.  Whatever works for you.

I have just had another look myself and can only find three studies, two found a reduction and one (the most recent in 2005) showed no reduction.

I cannot find anything since then?

Because the vasodilatory effect lasts a few hours then theoretically this should benefit a second erection, but you are absolutely right that the most important factor with the refractory period, is the physiological process going on in your body post orgasm, especially at cerebral level, counteracting further arousal and telling you to either fall asleep or to put your pants on and run 

If your refractory period is of the magnitude of many hours even days then ED meds will do little, but if your normal refractory period is say half an hour then that potentially can be reduced by ED meds whilst the levels in you blood stream remain raised. This is on the assumption you can maintain/regain cerebral arousal.

[Doc Holliday]

Supplements aren’t Medicine.

You realise that?

I already pointed that fact out but you seem to want to attempt to suggest I think they are.

They quite simply aren’t.

You really have no idea what Self Medicating is do you?

You can try and twist the definition of Self Medicating all you want.

I have a very common example of Self Medicating in the NHS, it happens on a daily basis.

It is also theft as you pointed out.

Self Medicating in Health Care is done with prescription drugs.

Not supplements you can buy on Amazon

No you are completely wrong. As Davie says, self medication is taking any medication (prescribed or over the counter) without medical supervision. If you take two paracetamol for a headache you are self medicating.

As for staff helping themselves to medicine from the emergency cupboard on a daily basis is also nonsense. To do so is both theft and gross misconduct.

EDIT supplements are not classed as medicines but that doesn't alter the definition of  self medicating

[RandomGuy99]

And the possible interactions of L-arginine are (according to External Link/Members Only ):

Anticoagulants and anti-platelet drugs, herbs and supplements. These types of drugs, herbs and supplements reduce blood clotting. Taking L-arginine with them might increase the risk of bleeding.

Blood pressure drugs, herbs and supplements. L-arginine might lower blood pressure in people who have high blood pressure. Combining use of L-arginine with a blood pressure drug, herb or supplement might increase the risk of blood pressure becoming too low.

Diabetes drugs, herbs and supplements. L-arginine might decrease blood sugar levels in people with diabetes. If you're taking diabetes drugs, herbs or supplements, your dosage might need to be adjusted.

Isoproterenol (Isuprel). Use of this heart medication with L-arginine might cause your blood pressure to become too low.

Nitrates. Use of this chest pain medication with L-arginine might cause your blood pressure to become too low.

Water pills (potassium-sparing diuretics). Don't take L-arginine with amiloride (Midamor), spironolactone (Aldactone, Carospir) or triamterene (Dyrenium). These medications can increase potassium levels, increasing the risk of developing a higher than normal level of potassium in your blood (hyperkalemia).

Sildenafil (Revatio, Viagra). Use of this erectile dysfunction medication with L-arginine might cause your blood pressure to become too low.

So these supplements can also be dangerous. They are effectively drugs, but not controlled by being a prescription only drug.

If 100 mg isn't working for the OP then a trip to the doctor is a must. The cause could be diet or other health related issue which should be checked out.  Losing weight and improving general fitness might be part of the solution.  Age may also be an issue.

[daviemac]

Supplements aren’t Medicine.

You realise that?

I already pointed that fact out but you seem to want to attempt to suggest I think they are.

They quite simply aren’t.

You really have no idea what Self Medicating is do you?

You can try and twist the definition of Self Medicating all you want.

I have a very common example of Self Medicating in the NHS, it happens on a daily basis.

It is also theft as you pointed out.

Self Medicating in Health Care is done with prescription drugs.

Not supplements you can buy on Amazon

The more you post the more you show you don't know what you are talking about, you are the one banging on about supplements whereas I am saying seek medical advice.

Once you are sitting in front of your doctor ALL options can be discussed, you can ask the doc if taking supplements would help, he would know better than some random joker on a punting forum who thinks self medicating is only taking prescription drugs.

My doctor did blood tests for 7 different issues that could be linked to ED, once they came back clear we discussed the options available, at that point had I been interested I could have asked about supplements or would I be wasting money buying them. We settled on Sildenafil with the option of changing to Cialis.

You are telling people to buy supplements when you have no idea if they would benefit from them. Just because something works for one person doesn't mean it will work for another.

[Punting2022]

I went holland and barret yesterday. Brought some wellman conception.

Toom two yesterday, two today. I can already notice thst im getting more wood through day. Used to be none. May also be phycological

[scutty brown]

I went holland and barret yesterday. Brought some wellman conception.

Toom two yesterday, two today. I can already notice thst im getting more wood through day. Used to be none. May also be phycological

Snake oil
All you need is a good balanced diet

[Watts.E.Dunn]

I find that the best ED treatment is a young willing up for it lady:)

Problem is finding them:(

[pdq]

I have just had another look myself and can only find three studies, two found a reduction and one (the most recent in 2005) showed no reduction.

reducing the refractory period

External Link/Members Only
This was being touted as next Viagra type cash spinner ( look at "off label" use in wiki entry).
External Link/Members Only
has been in various red tops as it has some side effects such as compulsive gambling etc and guys blowing life savings on wgs lol.
google further for more information , in tests supposedly it reduced refractory period to minutes or removed it completely.

there is a whole sub culture of folk on internet using drugs "off label" to achieve lifestyle aims.  could pro cyclists using asthma treatments be similar

External Link/Members Only  also mentioned as treatment for those that struggle to cum

External Link/Members Only
got a bitch that's had a false pregnancy recently and the you want to suppress lactation.

[RandomGuy99]

reducing the refractory period

External Link/Members Only
This was being touted as next Viagra type cash spinner ( look at "off label" use in wiki entry).
External Link/Members Only
has been in various red tops as it has some side effects such as compulsive gambling etc and guys blowing life savings on wgs lol.
google further for more information , in tests supposedly it reduced refractory period to minutes or removed it completely.

there is a whole sub culture of folk on internet using drugs "off label" to achieve lifestyle aims.  could pro cyclists using asthma treatments be similar

External Link/Members Only  also mentioned as treatment for those that struggle to cum

External Link/Members Only
got a bitch that's had a false pregnancy recently and the you want to suppress lactation.

I don't think I want to have multiple orgasms.  After one, I just want to have a lie down and a sleep.

[myothernameis]

I miss the days of the straining boner that I didn't need to think about.

I recently paid for a private blood testing of various groups through, numan, and the test results showed my testosterone levels were low, along with some other important vitamin's

So maybe insted of Sildenafil or similar products, it might be better to get a testosterone supplement

[RandomGuy99]

I recently paid for a private blood testing of various groups through, numan, and the test results showed my testosterone levels were low, along with some other important vitamin's

So maybe insted of Sildenafil or similar products, it might be better to get a testosterone supplement

Take a multivitamin. A lack of important vitamins and minerals can cause all sorts of issues.

[pdq]

Hi, I have been taking Sildenafil for many years. Originaly 50mg, for the last 10 years 100mg. Originally I used to get a boner you could chop wood on. Whilst I can still get hard enough for a two pop 1 hour punt. I miss the days of the straining boner that I didn't need to think about. I could keep a hard on despite any sort of interruption. Now I need to concentrate and need a bit of stimulation between positions. I guess I am slowly becoming immune to it's effects.
Has anyone else developed this type of gradual decline in it's effect. Does anyone know if one of the other e.d. tablets reset your tolerance and bring back the rampant boner. If so which one? Any advice appreciated.

something I experpenced and came to this

https://www.ukpunting.com/index.php?topic=320386.0

[RandomGuy99]

something I experpenced and came to this

https://www.ukpunting.com/index.php?topic=320386.0

Isn't just that over time your arteries fur up, so your blood pressure goes up. ED meds lower your blood pressure, so when your BP was lower the ED meds would have more of an effect. Now that you're older and I'm assuming your BP may have gone up, you need more ED meds to get the effect.

[pdq]

its just life (and the complications of Diabetes).

[scutty brown]

I recently paid for a private blood testing of various groups through, numan, and the test results showed my testosterone levels were low, along with some other important vitamin's

So maybe insted of Sildenafil or similar products, it might be better to get a testosterone supplement

Or it might just be better to ask a GP for advice...

[myothernameis]

Or it might just be better to ask a GP for advice...

After I got the results, I went to see my Gp, and he looked through the test results.  And because of my poor health, and symptoms, he made a number of recommendations to deal with my poor health

[musicmakeraxis]

The best thing for me was losing some weight. I thought my ED was mostly to do with being in my 50s but after losing 5kg things are working a bit better down below.